Geriatrics Fellowship Clinical Training
The clinical component of the program includes ambulatory, inpatient, and long-term care experiences:
The University Hospitals Foley ElderHealth Center and the VA Geriatrics Clinic offer coordinated interdisciplinary care to community dwelling older adults. Fellows learn to perform geriatrics assessments as well as provide primary care in the outpatient setting.
The Geriatric Evaluation Management unit at the Louis Stokes Cleveland VA Medical Center is an inpatient service designed for evaluation and rehabilitation of frail veterans. In caring for this population, fellows lead a team of medical students, residents, and nurse practitioners on the service, supervised by full-time members of the Geriatric Medicine Division.
Fellows work with neurology faculty and interdisciplinary staff at the Brain Health and Memory Center to evaluate and treat patients with cognitive disorders such as Alzheimer’s Disease, Frontotemporal Dementia, and parkinsonian related dementias.
Program of All-inclusive Care for the Elderly (PACE) is a unique community-based program designed to function both as the health insurance company, primary care provider, and case manager for nursing-home-eligible seniors. Fellows experience first-hand how this important program allows patients to receive coordinated medical care so that they can avoid hospitalizations, nursing home placement and continue to live safely in the community.
Fellows spend time visiting patients in the University Hospitals Medical House Calls program which provides primary health care services to homebound adults. This opportunity allows fellows to learn some of the challenges and benefits of caring for patients in their homes.
Fellows spend one month on the new Geriatrics Inpatient ACE (Acute Care for Elders) service where they work closely with geriatrics attendings to care for hospitalized older patients and assist in teaching medical/pharmacy students, and the medicine house staff that comprise the ACE service team.
Fellows rotate one month in Geriatric Psychiatry working closely with psychiatry specialists to assess and treat older patients with mood disorders that may be affected by the aging process.
Fellows spend one month each on Palliative Care and Hospice learning the principles of palliative medicine. During the Palliative Care month, fellows provide consultative services to acutely ill hospitalized patients. During their hospice rotation, fellows experience caring for dying patients on the inpatient hospice unit and in the home.
Hanna House is a University Hospitals operated skilled nursing facility located on the same campus as UH Case Medical Center, where fellows are presented with unparalleled opportunity to provide excellent post-hospitalization care to patients.
McGregor Nursing Home is a nonprofit facility where fellows collaborate with the nursing staff to care for residents in long term care.
Under the supervision of geriatrics faculty, fellows learn how to conduct a geriatrics consults on the inpatient service at UH.
Fellows spend one month on the Rehabilitation Medicine service at the VA, working with the physical medicine and rehabilitation medicine faculty and physical/occupational/speech therapy staff to care for veterans in both the inpatient and outpatient settings.
During the intro to community resources rotation, fellows meet with community organizations to become familiar with the services provided by Adult Protective Services, Long Term Care Ombudsman, Alzheimer’s Association, and Geriatric Care Management programs. Fellows also learn about the guardianship process by getting an opportunity to observe probate court cases.